Male factor infertility patients can have anomalies in their sperm nuclei,
displaying high levels of loosely packaged chromatin and damaged DNA. The p
rimary objectives of this study were to compare the extent of DNA fragmenta
tion in the spermatozoa of healthy light and heavy smokers versus non-smoke
rs, and to investigate its correlation with concentrations of the smoking m
arkers cotinine and cadmium. A secondary objective was to compare the conce
ntrations of blood cadmium and serum cotinine with corresponding concentrat
ions in seminal plasma, Ninety-seven healthy male volunteers were divided i
nto three groups: non-smokers, light and heavy smokers. There was no differ
ence between the three groups with respect to age, number of ejaculations p
er week, serum testosterone concentration, and parameters of semen analysis
, The percentages of DNA fragmentation in spermatozoa were not statisticall
y different in the heavy smokers (12.11%), light smokers (11.66%) and non-s
mokers (20.41%). Serum and seminal plasma concentrations of cotinine mere s
ignificantly higher in heavy smokers compared with the other groups (P < 0.
0001). Median values for blood cadmium concentration were higher in heavy s
mokers (4.50 mu g/l) than in light smokers (0.20 mu g/l) and non-smokers (0
.20 mu g/l) (P < 0.001). Cadmium concentration in seminal plasma was signif
icantly higher in heavy smokers (0.20 mu g/l) than in light smokers (0.10 m
u g/l) and non-smokers (0.10 mu g/l) (P < 0.05). In summary, our results in
dicate no association between smoking and DNA fragmentation in the spermato
zoa of healthy men.